Randall W Ellis, RN
Registered Nurse, Emergency in Salem, New Hampshire
1073901971- Practice location
- 2 Keewaydin Dr, Salem, NH 03079-2839
- Phone
- 800-995-2673
- Fax
- 888-979-6551
- Last updated
- December 30, 2014
Randall W Ellis is a Registered Nurse, Emergency based in Salem, NH. Randall W Ellis practices in Salem, NH and has the professional credentials of RN. The NPI Number for Randall W Ellis is 1073901971 and holds a License No. RN53627 (ME). The current practice location address for Randall W Ellis is 2 Keewaydin Dr, Salem, NH 03079-2839 and can be reached out via phone at 800-995-2673 and via fax at 888-979-6551.
Provider Profile Details
- NPI Number
- 1073901971
- Provider Name
- Randall W Ellis
- Credential
- RN
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2 Keewaydin Dr, Salem, NH 03079-2839
- Phone Number
- 800-995-2673
- Fax Number
- 888-979-6551
- Primary Taxonomy
- Registered Nurse, Emergency · 163WE0003X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 30, 2014
- Last Update Date
- December 30, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Keewaydin Dr
Salem, NH 03079-2839 - City
- Salem
- State
- New Hampshire
- Zip
- 03079-2839
- Phone Number
- 800-995-2673
- Fax Number
- 888-979-6551
Provider Business Mailing Address Details
- Address
- 2 Keewaydin Drive
Salem, NH 03079 - City
- Salem
- State
- NH
- Zip
- 03079
- Phone Number
- 800-995-2673
- Fax Number
- 888-979-6551
License Information
- License Number
- RN53627
- License State
- ME
- Taxonomy
- Registered Nurse, Emergency · 163WE0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Randall W Ellis, RN?
The NPI number of Randall W Ellis, RN is 1073901971. It was assigned on December 30, 2014 and is currently active in the NPPES registry.
What is the specialty of Randall W Ellis, RN?
Randall W Ellis, RN is registered under the primary taxonomy Registered Nurse, Emergency (code 163WE0003X), licensed in ME under license number RN53627.
Where does Randall W Ellis, RN practice?
The practice location is 2 Keewaydin Dr, Salem, NH 03079-2839. The office can be reached at 800-995-2673 (phone) or 888-979-6551 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073901971 directly on the NPPES registry website.